The Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA): Development, Key Features, and Preliminary Evidence

@article{Schmidt2014TheMM,
  title={The Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA): Development, Key Features, and Preliminary Evidence},
  author={Ulrike Schmidt and Tracey D. Wade and Janet L Treasure},
  journal={Journal of Cognitive Psychotherapy},
  year={2014},
  volume={28},
  pages={48 - 71}
}
Anorexia nervosa (AN) is a severe mental disorder that affects mainly young females. In adults with a well-established form of the illness, it is hard to treat. In 2006, we proposed a maintenance model of AN, combining intra- and interpersonal factors and we have recently refined this model. The model encompasses four main maintaining factors (a thinking style characterized by rigidity, detail focus, and a fear of making mistakes; an avoidant emotion processing and relational style; positive… 
Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA): A Cognitive-Interpersonal Model of Illness Development and Maintenance
As anorexia nervosa (AN) typically starts in adolescence, adults with the disorder often have a relatively persistent form of AN that is harder to change because symptoms have become rewarding,
Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA)
TLDR
An AN-specific cognitive-interpersonal maintenance model and treatment is developed, based on a focused review of the literature, which has since been revised based on further evidence.
The posited effect of positive affect in anorexia nervosa: Advocating for a forgotten piece of a puzzling disease.
TLDR
Evidence is presented, from multiple domains, including biological, behavioral, and self-report, supporting the hypothesis that PA dysregulation in AN contributes to the maintenance of the disorder.
The treatment of Anorexia Nervosa in adult women: Time to consider a novel approach?
TLDR
A critical analysis of four outpatient therapeutic approaches to treating adulthood Anorexia Nervosa is provided to address the flaws in treatment approaches that focus too heavily on weight restoration and food related concerns, and to highlight the benefits of utilizing an approach that does not place these issues at the core of treatment.
Cognitive Interpersonal Model for Anorexia Nervosa Revisited: The Perpetuating Factors that Contribute to the Development of the Severe and Enduring Illness
TLDR
The cognitive interpersonal model describes in more detail the perpetuating aspects of the model, which include the inter- and intrapersonal related consequences of isolation, depression, and chronic stress that accumulate in the severe and enduring stage of the illness.
Who am I without anorexia? Identity exploration in the treatment of early stage anorexia nervosa during emerging adulthood: a case study
Abstract Emerging adulthood (age 18–25 years) is a distinct developmental phase, characterized by multiple life changes, transitions and uncertainties, associated with significant risk of mental ill
Developments in the psychological treatment of anorexia nervosa and their implications for daily practice
TLDR
An overview of the recent literature on psychological treatment for young adults and adults with anorexia nervosa and the implications of the findings for clinical practice are discussed.
Externalizing your eating disorder: a qualitative interview study
TLDR
There is considerable variation in the perceived relation between anorexia nervosa (AN) and identity, and an externalizing approach within treatment may lead to so called epistemic injustice.
Psychological Treatments for People With Severe and Enduring Anorexia Nervosa: A Mini Review
TLDR
There is an urgent need not only to strengthen the existing knowledge with studies of sufficient power, but also, fundamentally, to derive novel conceptualizations of what “treatment” involves.
Challenging rigidity in Anorexia (treatment, training and supervision): questioning manual adherence in the face of complexity
TLDR
The need for working flexibly and collaboratively with service users in an individually tailored way, focusing on meeting them where they’re at, and building trust and understanding between them may actually be the best way to improve treatment experience and outcomes is highlighted.
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TLDR
An AN-specific cognitive-interpersonal maintenance model and treatment is developed, based on a focused review of the literature, which has since been revised based on further evidence.
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TLDR
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TLDR
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